# JAY KYUNG LEE M.D. APC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023423803
- **Authorized official:** DR. JAY KYUNG LEE M.D. (OWNER)
- **Authorized official phone:** (951) 977-8525

## Contact information

- **Practice address:** 7724 CALIFORNIA AVE, RIVERSIDE, CA 92504-2509
- **Practice address phone:** (951) 977-8525
- **Practice address fax:** (951) 977-8527
- **Mailing address:** 7724 CALIFORNIA AVE, RIVERSIDE, CA 92504-2509
- **Mailing address phone:** (951) 977-8525
- **Mailing address fax:** (951) 977-8527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A85767 | CA | Yes |

## Other

- **Enumeration date:** 06/30/2014
- **Last updated:** 10/16/2015